Figure 5.

Endoscopic vacuum therapy in the management of an esophageal defect. A: Complete dehiscence of the esophageal leak and the mediastinal drainage; B: Open-pore polyurethane foam drain; C: Intracavitary sponge placement; D: Granulation tissue after second sponge exchange; E: Granulation tissue after fourth sponge exchange; F: Reduction of the defect size after seven sponge exchanges; G: Complete closure after nine sponge exchanges; H: Scar after esophageal closure with endoscopic vacuum therapy.